Behdokht Daneshvar, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06958500 Issued in NJ

Legal business name

BEHDOKHT DANESHVAR, LLC

Practice address

408 Bethel Rd
Suite C-2
Somers Point, NJ 08244-2172

Phone

(609) 926-6900

Fax

(609) 926-6995

NPI assigned

Jun 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Behdokht Daneshvar, MDNPI 1093745473

Title

Owner

Phone

(609) 485-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behdokht Daneshvar, MD

  • Internal Medicine Physician
  • Northfield, NJ
  • NPI 1093745473
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1447512835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NEW RD",
            "address_2": "2ND FLOOR",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251600",
            "telephone_number": "609-926-6900",
            "fax_number": "609-926-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE C-2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-6900",
            "fax_number": "609-926-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHDOKHT DANESHVAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "BEHDOKHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-485-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06958500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8024804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.